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Lauzen Payroll
Company Payroll Setup Form
Company Information
Company Legal Name
*
DBA (if applicable)
Business Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Business Phone
*
Website
What is your entity type?
Sole Proprietorship
LLC
LLC though taxed as S-Corp
S-Corp
C-Corp
501(c)(3)
I don't know
Other
Executive Contact Information
Executive Contact Name
*
First
Last
Executive Contact Title
Executive Contact Email
*
Executive Phone
*
Executive Cell Phone
Authorized Payroll Contact
Would you like to add an authorized payroll contact person?
*
Yes
No
Payroll Contact Name
*
First
Last
Payroll Contact Title
Payroll Contact Email
*
Payroll Contact Phone
*
Payroll Contact Cell Phone
Payroll Information
Federal Employer Identification Number
*
This is a 9 digit number that follows the format of 12-3456789 which is issued by the IRS
Total Number of Employees
*
1-10
11-25
26-50
51-100
100+
Have you paid employees this year?
*
Yes
No
Do you want to offer direct deposit to your employees?
*
Yes, 100% direct deposit is the goal
Yes, some direct deposit and some live checks
No, live checks only
Would you like for us to set up any divisions and/or departments for labor cost reporting?
Yes
No
Would you like for us to track and manage your paid time off accrual policy (i.e. vacation, sick, etc.)?
Yes
No
If so, then we will need a copy of your time off accrual policy and accrual rates and balances by employee.
Do you have a company sponsored retirement plan?
Yes, we offer a 401(k)
Yes, we offer a Simple IRA
Yes, we offer a 403(b)
Yes, other
No, we do not
Do you have any active garnishments for any of your employees?
*
Yes
No
Unknown
We will need copies of any active garnishment orders
If an employee has a garnishment, you have the option of charging a garnishment handling fee of $5 per month. Would you like to auto-deduct this fee from their payroll check?
*
Yes
No
Who is your workers' compensation insurance provider?
Payroll Schedule
Payroll Frequency
*
Weekly
Bi-Weekly
Semi-Monthly
Monthly
Quarterly
Other
What is the PERIOD END date for your first payroll?
MM slash DD slash YYYY
This is when you would cut off the hours for any hourly employees and/or the day that you would pay through for any salary employees. If unsure, just leave blank.
When will your first CHECK DATE on our service be?
MM slash DD slash YYYY
Please allow 3-5 business days for setup. If you are unsure of this date, just leave it blank.
Anything else we should know about your pay periods and/or check dates?
Accounting Information
What accounting software do you use?
QuickBooks
QuickBooks Online (Web Version)
Peachtree / Sage 50
Other
None
Would you like for us to provide a General Ledger Report and/or an interface file that can be imported back into your accounting software?
Yes, both please
Yes, but all I need is the report
No
Would you like to enter your banking information now?
*
Yes
No
Banking Information
Please enter the banking information for the business' payroll account. This is the account we will use for: paying employees and for the payroll debit (including direct deposits, taxes, and fees). If you wish to use more than one bank account for some reason, please specify the details in the Special Instructions sections at the bottom of this form.
Account Type
*
Checking
Savings
Bank Routing Number
*
This is a 9 digit number that is in the lower left position of your check
Bank Account Number
*
Bank Name
*
Additional Services
What else can we help you with?
Select All
Time and Attendance System
Workers Compensation Insurance (Pay-As-You-Go)
Group Health Insurance/Employee Benefits
Retirement Plans (Simple IRA or 401K)
Accounting Services
Special Instructions
Please provide any detailed special instructions you need:
Ready To Submit
Please review the information entered above for accuracy. When you are done, please click the submit button below. Upon receipt of this information, we will prepare the "New Client Set Up Forms" and we will e-mail them to the address specified below. We recommend that you use YOUR e-mail address so that you can review the forms before presenting them to the Executive Contact for signature. If you are the Executive Contact, please re-enter your e-mail address as the preparer below.
Preparer's Email Address
We will email the prepared signature pages to this email address
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